Effects of tobacco and vaping on the skin.

Introduction:
This article discusses the effects of tobacco and vaping on the skin, highlighting the role of dermatologists in educating and counseling patients on smoking cessation. The study specifically focuses on the cutaneous consequences of conventional cigarette smoking and electronic cigarette use on dermatologic diseases.

Key Points:

* Tobacco use is the single most preventable cause of morbidity and mortality in the world.
* Both cigarette smoking and electronic cigarette use have similar deleterious health implications on almost all organ systems, including the skin.
* Smoking negatively affects wound healing and increases the risk of cutaneous surgical complications.
* Smoking causes premature aging for a multitude of reasons, including increased ROS, matrix metalloproteinases, and tropoelastin and collagen degradation.
* Smoking is associated with an increased risk of nonmelanoma skin cancers, squamous cell carcinoma, and keratoacanthomas.
* Smoking is a well-established risk factor for hidradenitis suppurativa, with a dose-response relationship between cigarette use and hS severity.
* although there is no clear relationship between tobacco use and acne, smoking is associated with accelerated premature graying and a potential link with androgenetic alopecia.
* Smoking is also associated with systemic lupus erythematosus, polymorphous light eruption, and oral lesions.

Main Message:
The study emphasizes the importance of dermatologists in recognizing and addressing the cutaneous manifestations associated with tobacco and electronic cigarette use. Given the negative effects of smoking on the skin and overall health, dermatologists play a vital role in educating and encouraging patients to quit smoking. The study also highlights the potential impact of smoking on wound healing, surgical outcomes, and various dermatologic conditions, further underscoring the significance of this issue in clinical practice.

Mitri a, Lin G, Waldman Ra, Grant-Kels JM. Effects of tobacco and vaping on the skin. Clinics in dermatology. 2021;39(5):762-771. doi:10.1016/j.clindermatol.2021.05.004